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Tumescent Face Lift - Part 1. A surgery video by Louis Bucky, MD from the 49th Annual Baker Gordon Symposium on Cosmetic Surgery.

Video Author: Baker Gordon Symposium on Cosmetic Surgery
Published on: 09.21.2015
Associated with: October 2015, Volume 136, Issue 4;

This video demonstrates highlights of facelift surgery including the use of tumescent infiltration, 500-700ccs of the face and neck, lipo-dissection (tunneling) of the neck for wide-undermining, and perforator preservation. The extended SMAS elevation typically avoids the need and is counterproductive to platysma plication. Finally, moderate volume fat grafting is critical for volume restoration and facial shaping. These procedures facilitate one another for an effective and efficient facelift.

Baker Gordon Symposium on Cosmetic Surgery. Keywords: Cosmetic; Facelift; Rhytidectomy; Tumescence;

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Creator: Rod J. Rohrich, MD
Duration: 3:04
"The Glass Ceiling" in academic medicine used to be attributed to an "unfilled pipeline," but that pipeline is getting more and more full. In fact, in 2018- 2019 for the first time ever, women entering medical school outnumbered men. So why aren't we seeing similar increases in women leaders in our institutions, including in academic plastic surgery programs? In this video, Rod J. Rohrich, MD, Editor-in-Chief of " Plastic and Reconstructive Surgery, " discusses trends discovered and solutions proposed in a new study that analyzed the gender diversity in 100 academic plastic surgery programs in the United States from residency to chair to dean.

Read the March 2021 PRS #PlasticSurgery article, " Women in Leadership and Their Influence on the Gender Diversity of Academic Plastic Surgery Programs " by Keane, Larson, Santosa, Vannucci, Waljee, Tenenbaum, Mackinnon, and Snyder-Warwick. Find it on PRSJournal.com.

For consumer information on plastic surgery, and to find a board-certified plastic surgeon in your area visit http://plasticsurgery.org.

Keywords: plastic surgery; #PRSHotTopic; Leadership; women leadership; gender bias; mentorship; promotion; academic plastic surgery; female role models; plastic surgery programs; gender disparity; academic ladder; female chair; faculty gender; plastic surgery career;
Creator: Rod J. Rohrich, MD
Duration: 2:34
In this video, Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery, " discusses the next step in the evolution of the spreader flap rhinoplasty technique: the "Four-step spreader flap. "

Read the March 2021 PRS #PlasticSurgery article, "Four-Step Spreader Flap: The Pull-Twist-Turn Technique" by Rohrich and Durand. Find it on PRSJournal.com.

For consumer information on plastic surgery, and to find a board-certified plastic surgeon in your area visit http://plasticsurgery.org.

Keywords: plastic surgery; #PRSHotTopic; rhinoplasty; nose surgery; dorsal hump; spreader graft; spreader flap; internal valve; nose; airflow obstruction; horizontal mattress sutures; osteotomy; cosmetic surgery;
Creator: Rod J. Rohrich, MD
Duration: 1:46
In this video, Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery, " discusses the use of fat grafting to restore facial symmetry and reduce scarring after laser treatment of facial filler complications.

Read the March 2021 PRS #PlasticSurgery article, "Lipofilling after Laser-Assisted Treatment for Facial Filler Complication: Volumetric and Regenerative Effect" by De Santis, Pinelli, Benanti, Baccarani, and Starnoni. Find it on PRSJournal.com.

For consumer information on plastic surgery, and to find a board-certified plastic surgeon in your area visit http://plasticsurgery.org.

Keywords: plastic surgery; #PRSHotTopic; facial fillers; botox; aesthetic plastic surgery; permanent fillers; fat grafting; scarred tissue; laser treatments; injectable fillers;
Creator: Jamie P. Levine, MD
Duration: 3:05
In this video Jamie P. Levine, MD discusses “Free Flap Reconstruction of Posterior Trunk Soft-Tissue Defects: Single-Institution Experience and Systematic Literature Review” by Akdeniz-Dogan, Roubaud, Kapur, Liu, Yu, Selber, and Mericli, which appears in the March 2021 issue of Plastic and Reconstructive Surgery, Volume 147 Issue 3.

Keywords: #PRSHotTopics; plastic surgery; reconstructive surgery; trunk soft-tissue; defects; trunk; free flap reconstruction; microvascular; posterior trunk; systematic literature review; algorithmic; reconstruction; vein grafts; veins grafting; complication rate; vessels; free flap; free tissue transfer;
Creator: Takumi Yamamoto, M.D., Ph.D.; Nana Yamamoto, M.D.; Yuma Fuse, M.D.; Takashi Kageyama, M.D.; Hayahito Sakai, M.D.; Reiko Tsukuura, M.D.
Duration: 00:04
Video demonstrates Early mobilization of the reconstructed hand one day after a pure-skin-perforator flap transfer. From “Subdermal Dissection for Elevation of Pure Skin Perforator Flaps and Super-thin Flaps: The Dermis as a Landmark for the Most Superficial Dissection Plane”. Plastic and Reconstructive Surgery: March 2021 – 147(3).

Keywords: supermicrosurgery; microsurgery; perforator flap; superficial circumflex iliac artery; pure skin perforator; super-thin flap
Creator: Takumi Yamamoto, M.D., Ph.D.; Nana Yamamoto, M.D.; Yuma Fuse, M.D.; Takashi Kageyama, M.D.; Hayahito Sakai, M.D.; Reiko Tsukuura, M.D.
Duration: 00:25
Video demonstrates Indocyanine green angiography for evaluation of a pure-skin-perforator superficial circumflex iliac artery perforator flap perfusion. From “Subdermal Dissection for Elevation of Pure Skin Perforator Flaps and Super-thin Flaps: The Dermis as a Landmark for the Most Superficial Dissection Plane”. Plastic and Reconstructive Surgery: March 2021 – 147(3).

Keywords: supermicrosurgery; microsurgery; perforator flap; superficial circumflex iliac artery; pure skin perforator; super-thin flap
Creator: Takumi Yamamoto, M.D., Ph.D.; Nana Yamamoto, M.D.; Yuma Fuse, M.D.; Takashi Kageyama, M.D.; Hayahito Sakai, M.D.; Reiko Tsukuura, M.D.
Duration: 00:37
Video demonstrates Pure-skin-perforator (PSP) flap elevation. Distal-to-proximal dissection is continued with careful attention to the pedicle until elevation is completed. Then, skin is incised circumferentially as preoperatively designed. From “Subdermal Dissection for Elevation of Pure Skin Perforator Flaps and Super-thin Flaps: The Dermis as a Landmark for the Most Superficial Dissection Plane”. Plastic and Reconstructive Surgery: March 2021 – 147(3).

Keywords: supermicrosurgery; microsurgery; perforator flap; superficial circumflex iliac artery; pure skin perforator; super-thin flap
Creator: Takumi Yamamoto, M.D., Ph.D.; Nana Yamamoto, M.D.; Yuma Fuse, M.D.; Takashi Kageyama, M.D.; Hayahito Sakai, M.D.; Reiko Tsukuura, M.D.
Duration: 1:00
Video demonstrates Pure-skin-perforator (PSP) flap elevation. After a PSP is found, the perforator is dissected proximally until enough pedicle length is obtained. Then, skin is incised circumferentially as preoperatively designed. From “Subdermal Dissection for Elevation of Pure Skin Perforator Flaps and Super-thin Flaps: The Dermis as a Landmark for the Most Superficial Dissection Plane”. Plastic and Reconstructive Surgery: March 2021 – 147(3).

Keywords: supermicrosurgery; microsurgery; perforator flap; superficial circumflex iliac artery; pure skin perforator; super-thin flap
Creator: Takumi Yamamoto, M.D., Ph.D.; Nana Yamamoto, M.D.; Yuma Fuse, M.D.; Takashi Kageyama, M.D.; Hayahito Sakai, M.D.; Reiko Tsukuura, M.D.
Duration: 00:48
Video demonstrates Pure-skin-perforator (PSP) flap elevation. Dissection plane is just below the dermis as in full-thickness skin graft harvest. From “Subdermal Dissection for Elevation of Pure Skin Perforator Flaps and Super-thin Flaps: The Dermis as a Landmark for the Most Superficial Dissection Plane”. Plastic and Reconstructive Surgery: March 2021 – 147(3).

Keywords: supermicrosurgery; microsurgery; perforator flap; superficial circumflex iliac artery; pure skin perforator; super-thin flap
Creator: Takumi Yamamoto, M.D., Ph.D.; Nana Yamamoto, M.D.; Yuma Fuse, M.D.; Takashi Kageyama, M.D.; Hayahito Sakai, M.D.; Reiko Tsukuura, M.D.
Duration: 00:51
Video demonstrates Pure-skin-perforator (PSP) flap elevation. After skin incision with a surgical scalpel, a PSP flap is elevated using a needle-tip electric cautery. From “Subdermal Dissection for Elevation of Pure Skin Perforator Flaps and Super-thin Flaps: The Dermis as a Landmark for the Most Superficial Dissection Plane”. Plastic and Reconstructive Surgery: March 2021 – 147(3).

Keywords: supermicrosurgery; microsurgery; perforator flap; superficial circumflex iliac artery; pure skin perforator; super-thin flap
Creator: Takumi Yamamoto, M.D., Ph.D.; Nana Yamamoto, M.D.; Yuma Fuse, M.D.; Takashi Kageyama, M.D.; Hayahito Sakai, M.D.; Reiko Tsukuura, M.D.
Duration: 00:08
Video demonstrates Pure-skin-perforator (PSP) localization using a color doppler ultrasound. A point where a PSP penetrates into the dermis is marked by tracing color doppler signal into the dermis on ultrasound. From “Subdermal Dissection for Elevation of Pure Skin Perforator Flaps and Super-thin Flaps: The Dermis as a Landmark for the Most Superficial Dissection Plane”. Plastic and Reconstructive Surgery: March 2021 – 147(3).

Keywords: supermicrosurgery; microsurgery; perforator flap; superficial circumflex iliac artery; pure skin perforator; super-thin flap
Creator: Laura Eid, M.D., Angelo Tsirbas, M.D.
Duration: 1:51
Video demonstrates the subbrow blepharoplasty in a non-Asian patient with Orbicularis oculi periosteal fixation. From “Subbrow blepharoplasty in Caucasians” Plastic and Reconstructive Surgery: March 2021 – 147(3).

Keywords: blepharoplasty/ subbrow blepharoplasty / upperlid / Caucasian
Creator: Dhruv Singhal
Duration: 1:08
Video demonstrates the surgical technique for immediate lymphatic reconstruction of the left axillary nodal bed. From “Evaluating the Impact of Immediate Lymphatic Reconstruction for the Surgical Prevention of Lymphedema”. Plastic and Reconstructive Surgery: March 2021 – 147(3).

Keywords: Breast cancer-related lymphedema; immediate lymphatic reconstruction; LYMPHA; prevention; microsurgery
Creator: Authors: Andreas E. Krag, M.D., Ph.D.; Samuel Glick, B.A.; Austin Hembd, M.D.; Shai M. Rozen, M.D., F.A.C.S.
Duration: 1:34
Video demonstrates palpation of the “DAO string sign” and DAO muscle injection with 3 ml lidocaine on the left side of a female patient. From “he Effect of Depressor Anguli Oris Muscle Block on Facial Symmetry in Synkinetic Facial Paralysis Patients and its Role in Preoperative Assessment”. Plastic and Reconstructive Surgery: March 2021 – 147(3).

Keywords: facial paralysis; facial palsy; synkinesis; Bell's palsy; Facial Nerve; depressor anguli oris muscle; Facial muscles; mimetic muscles; facial symmetry; repose; philtral deviation; animation; smile; modiolus angle; smile angle; modiolus excursion; smile excursion; oral commissure excursion; teeth exposure; dental show; emotrics; facegram; muscle denervation; muscle block; injection; lidocaine
Creator: Dennis Orgill
Duration: 1:41
This video details staged management of penile, perineal, and scrotal hidradenitis with skin graft and negative pressure wound therapy (NPWT). 54-year-old man with history of severe scrotal, penile, and perineal hidradenitis after limited scrotal resection who presented with residual disease and lymphedema of the scrotum and penis. Wide local excision of hidradenitis of scrotum and penis and reconstruction with local tissue rearrangement, STSG to penis, and placement of irrigation NPWT were performed. Urinary catheter was used given location of penile skin graft recipient site, which was treated with NPWT. During the second stage, the NPWT device was removed to reveal skin graft take to the penile shaft. Additional disease of the perineum and right groin were identified and excised. Layered closure was performed over a round closed-suction drain.

From “Plastic Surgical Management of Hidradenitis Suppurativa”. March 2021 – 147 (3). CME.
br> Keywords: hidradenitis suppurativa, acne inversa, folliculopilosebaceous units, reconstructive surgery
Creator: Dennis Orgill
Duration: 1:19
This video details staged management of gluteal hidradenitis and pilonidal disease using internal vacuum-assisted closure therapy. 19-year-old man with history of extensive hidradenitis and pilonidal disease. Video demonstrates second stage of surgical treatment, two days after wide local excision of the gluteal region and placement of an internal vacuum-assisted closure device. Internal vacuum-assisted closure device was removed, wound irrigated, layered closure performed, and incisional negative pressure wound therapy device applied.

From “Plastic Surgical Management of Hidradenitis Suppurativa”. March 2021 – 147 (3). CME.

Keywords: hidradenitis suppurativa, acne inversa, folliculopilosebaceous units, reconstructive surgery
Creator:
Duration: 1:19
This video details staged management of suprapubic hidradenitis using internal vacuum-assisted closure therapy and split thickness skin graft: Stage II. Two days after stage I (Video 1), the internal vacuum-assisted closure device was removed and residual disease sharply excised. Split thickness skin graft was applied to the wound bed and negative pressure wound therapy device applied over skin graft.

From “Plastic Surgical Management of Hidradenitis Suppurativa”. March 2021 – 147 (3). CME.

Keywords: hidradenitis suppurativa, acne inversa, folliculopilosebaceous units, reconstructive surgery
Creator:
Duration: 2:30
This video details staged management of suprapubic hidradenitis using internal vacuum-assisted closure device and split thickness skin graft: Stage I. 57-year-old man with large area of hidradenitis suppurativa of the suprapubic region. Wide local excision was performed with W-plasty incision. Partial closure with internal vacuum-assisted closure device was used with plan to return to the operating room two days later

From “Plastic Surgical Management of Hidradenitis Suppurativa”. March 2021 – 147 (3). CME.

Keywords: hidradenitis suppurativa, acne inversa, folliculopilosebaceous units, reconstructive surgery
Creator: Rafael Denadai, MD; Pang-Yun Chou, MD; Dax Carlo Go Pascasio, MD; Lun-Jou Lo, MD
Duration: 4:37
Video demonstrates the reconstruction of a unilateral incomplete cleft lip using the “skin-follows-muscle” principle and primary rhinoplasty with overcorrection. From: “Modified Unilateral Incomplete Cleft Lip Repair with Primary Nasal Overcorrection: A Muscle-Driven Technique”. Plastic and Reconstructive Surgery: March 2021 – 147(3).
Mbr> Keywords: Cleft Lip; unilateral; incomplete form; muscle reconstruction
Creator: Rafael Denadai, MD; Pang-Yun Chou, MD; Dax Carlo Go Pascasio, MD; Lun-Jou Lo, MD
Duration: 4:05
Video demonstrates the dissection of a left unilateral incomplete cleft lip repair. From: “Modified Unilateral Incomplete Cleft Lip Repair with Primary Nasal Overcorrection: A Muscle-Driven Technique”. Plastic and Reconstructive Surgery: March 2021 – 147(3).

Keywords: Cleft Lip; unilateral; incomplete form; muscle reconstruction



Creator: Nawaf Aljudaibi
Duration: 14:23
Video 1 displays the LTM for dynamic palliative reanimation of the lip in facial palsy sequelae, performed by the author of the LTM technique himself and strengthened by virtual animation sequences. Its aim is to facilitate this surgical procedure, and describes surgical key points and relevant details. Keywords: Head and neck; Temporalis myoplasty; Technique;